Organization
DR MARCIA ASGARIAN INC
Active
Organization
DR MARCIA ASGARIAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK ASGARIAN MD (DIRECTOR)
(209) 625-9409
Entity
Organization
Contact information
Practice address
755 S FAIRMONT AVE, LODI, CA 95240-4643
(209) 625-9409
Mailing address
PO BOX 2655, LODI, CA 95241-2655
(209) 625-9409
(844) 308-8677
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
18390
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063636645
PSYCHOLOGIST
CA
Enumeration date
10/05/2017
Last updated
10/05/2017
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